Assessment
What are some techniques for auscultating lung sounds?
Zig-zag pattern both anteriorly and posteriorly.
What is the characteristic sound associated with ACUTE asthma that is often heard during expiration?
Wheezing
What structures of the respiratory system warm and remove impurities from inhaled air?
a. The epiglottis deflects impurities out of the trachea and into the esophagus,while the nasal cavity warms the air.
b. Hair and mucus in the nose and trachea catch impurities, while the nasal cavity warms the air.
c. Saliva in the mouth and hair in the trachea catch impurities, while the pharynx warms the air.
d. The closed-off compartments of the larynx trap impurities in the air and warm the air.
Hair and mucus in the nose and trachea catch impurities, while the nasal cavity warms the air.
Which of the following best describes crackles?
a) High-pitched, musical sounds
b) Low-pitched, rumbling sounds
c) Discontinuous, popping or bubbling sounds
d) Continuous, musical sounds
Discontinuous, popping or bubbling sounds
A decrease of low oxygen in blood is known as
hypoxia
What is our favorite phrase we ask patients to say repeatedly when assessing tactile fremitus?
Ninety-nine or Blue moon
What is the hallmark sign of pneumonia that is typically exacerbated by deep breathing or coughing?
Chest pain
What musculotendinous septum separates the thoracic cavity from the abdomen?
diaphram
Rhonchi are often associated with which of the following conditions?
a) Asthma
b) Chronic obstructive pulmonary disease (COPD)
c) Pneumonia
d) Pulmonary edema
Chronic obstructive pulmonary disease (COPD)
Which test would be used to test for hypoxia?
Pulse oximeter
Where is tactile fremitus most intense?
Scapulae
What physical characteristic of the chest is often seen in advanced stages of COPD due to lung hyperinflation?
Barrel chest
What is the medical term for a collapsed or shrunken alveoli?
atelectasis
Wheezes with an airway obstruction are characterized by:
a) A low-pitched, rumbling sound
b) A high-pitched, musical sound
c) Crackling or bubbling sounds
d) No sound
A high-pitched, musical sound
A low profusion of blood due to blockage in the artery
ischemia
*What are the different types of changes in tactile fremitus during a nursing health assessment, and what might they indicate about the patient's respiratory health?*
Increased/decreased tactile fremitus; absent tacticle fremitus
What symptom of pneumonia is often accompanied by yellow or green sputum?
Cough
What is the greatest function of the respiratory system?
supplying oxygen to the body
What is a clinical example of a stridor sound?
a) croup and acute epiglottis in children and foreign inhalation
b) bronchitis
c) in aging adults bedridden
d) pulmonary edema, pneumonia, or pulmonary fibrosis and the terminally ill who have a depressed cough reflex
croup and acute epiglottis in children and foreign inhalation
Ischemia narrowing of arteries. What is this narrowing known as
atherosclerosis
What part of the stethoscope do you use to auscultate the lungs?
diaphragm
Which symptom of asthma is typically worse at night or early in the morning?
Coughing
What structures compose the lower respiratory tract?
trachea, bronchi, bronchioles and alveoli
What is a pleural friction rub?
adventitious breath sound heard on auscultation of the lung
Is atherosclerosis normal in older adults? Yes or no?
Yes, Normal in aging because the peripheral blood vessels grow more rigid with age